Active NPI
Rajnikant M. Kadiwar, MD
- Internal Medicine Physician
- Lakeland, FL
National Provider Identifier
1346511615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME0067835
- Legal business name
- RAJNIKANT M. KADIWAR, MD
- Practice address
- 3015 Lakeland Highlands Rd
Lakeland, FL 33803-4339 - Phone
- (863) 682-7737
- Fax
- (863) 682-0761
- NPI assigned
- Jan 19, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jayshri Kadiwar
- Title
- Office Administrator
- Phone
- (863) 682-7737
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME0067835 | FL | Primary |
Addresses
Primary practice location
3015 Lakeland Highlands Rd
Lakeland, FL 33803-4339
Mailing address
3015 Lakeland Highlands Rd
Lakeland, FL 33803-4339
Phone (863) 682-7737
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 378086401 | Medicaid | FL | |
| 27337 | Other | BCBS OF FL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326931200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1326931200000",
"number": "1346511615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3015 LAKELAND HIGHLANDS RD",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338034339",
"telephone_number": "863-682-7737",
"fax_number": "863-682-0761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3015 LAKELAND HIGHLANDS RD",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338034339",
"telephone_number": "863-682-7737",
"fax_number": "863-682-0761"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAJNIKANT M. KADIWAR, MD",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-19",
"last_updated": "2012-01-19",
"status": "A",
"authorized_official_last_name": "KADIWAR",
"authorized_official_first_name": "JAYSHRI",
"authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
"authorized_official_telephone_number": "863-682-7737",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME0067835",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "378086401",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF FL",
"identifier": "27337",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.